Organization
PLYMOUTH CHIROPRACTIC, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAN CECKA D.C. (DOCTOR)
(920) 892-8920
Entity
Organization
Contact information
Practice address
126 E MILL ST, PLYMOUTH, WI 53073-1704
(920) 892-8920
(920) 892-8920
Mailing address
126 E MILL ST, PLYMOUTH, WI 53073-1704
(920) 892-8920
(920) 892-8920
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2629-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235237603
PROVIDER NPI
WI
05
—
124536
—
WI
Enumeration date
03/13/2007
Last updated
05/12/2011
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